Journal preview: Correctional physician empathy: How do correctional docs measure up?

2007 ◽  
Keyword(s):  
2019 ◽  
Author(s):  
Daryl Cameron ◽  
Michael Inzlicht

Empathy in medical care has been one of the focal points in the debate over the bright and dark sides of empathy. Whereas physician empathy is sometimes considered necessary for better physician-patient interactions, and is often desired by patients, it also has been described as a potential risk for exhaustion among physicians who must cope with their professional demands of confronting acute and chronic suffering. The present study compared physicians against demographically matched non-physicians on a novel behavioral assessment of empathy, in which they choose between empathizing or remaining detached from suffering targets over a series of trials. Results revealed no statistical differences between physicians and non-physicians in their empathy avoidance, though physicians were descriptively more likely to choose empathy. Additionally, both groups were likely to perceive empathy as cognitively challenging, and perceived cognitive costs of empathy associated with empathy avoidance. Across groups, there were also no statistically significant differences in self-reported trait empathy measures and empathy-related motivations and beliefs. Overall, these results suggest that physicians and non-physicians were more similar than different in terms of their empathic choices and in their assessments of the costs and benefits of empathy for others.


2021 ◽  
Vol 8 ◽  
pp. 237437352199698
Author(s):  
Sophia Aguirre ◽  
Kristen M Jogerst ◽  
Zachary Ginsberg ◽  
Sandeep Voleti ◽  
Puneet Bhullar ◽  
...  

Emergency physician empathy and communication is increasingly important and influences patient satisfaction. This study investigated if there is a need for improvement in provider empathy and communication in our emergency department and what areas could be targeted for future improvement. Patients cared for by emergency physicians with the lowest satisfaction scores were surveyed within 1 week of discharge. Patients rated their emergency provider’s empathy and communication and provided feedback on the patient–provider interaction. Compared to survey responses nationally, our providers fell between the 10th and 25th percentiles for all questions, except question 5 (making a plan of action with [the patient]) which was between the 5th and 10th percentile. Areas most frequently cited for improvement were “wanting to know why” (N = 30), “time is short” (N = 15), and “listen to the patient” (N = 13). Survey percentiles and open-ended suggestions demonstrate a need for providers to give thorough explanations, spend more time with the patient, and demonstrate active listening. These themes can be used to strengthen the provider–patient relationship.


2021 ◽  
pp. emermed-2020-210757
Author(s):  
Katie Pettit ◽  
Anne Messman ◽  
Nathaniel Scott ◽  
Michael Puskarich ◽  
Hao Wang ◽  
...  

BackgroundPhysician empathy has been linked to increased patient satisfaction, improved patient outcomes and reduced provider burnout. Our objective was to test the effectiveness of an educational intervention to improve physician empathy and trust in the ED setting.MethodsPhysician participants from six emergency medicine residencies in the US were studied from 2018 to 2019 using a pre–post, quasi-experimental non-equivalent control group design with randomisation at the site level. Intervention participants at three hospitals received an educational intervention, guided by acognitivemap (the ‘empathy circle’). This intervention was further emphasised by the use of motivational texts delivered to participants throughout the course of the study. The primary outcome was change in E patient perception of resident empathy (Jefferson scale of patient perception of physician empathy (JSPPPE) and Trust in Physicians Scale (Tips)) before (T1) and 3–6 months later (T2).ResultsData were collected for 221 residents (postgraduate year 1–4.) In controls, the mean (SD) JSPPPE scores at T1 and T2 were 29 (3.8) and 29 (4.0), respectively (mean difference 0.8, 95% CI: −0.7 to 2.4, p=0.20, paired t-test). In the intervention group, the JSPPPE scores at T1 and T2 were 28 (4.4) and 30 (4.0), respectively (mean difference 1.4, 95% CI: 0.0 to 2.8, p=0.08). In controls, the TIPS at T1 was 65 (6.3) and T2 was 66 (5.8) (mean difference −0.1, 95% CI: −3.8 to 3.6, p=0.35). In the intervention group, the TIPS at T1 was 63 (6.9) and T2 was 66 (6.3) (mean difference 2.4, 95% CI: 0.2 to 4.5, p=0.007). Hierarchical regression revealed no effect of time×group interaction for JSPPPE (p=0.71) nor TIPS (p=0.16).ConclusionAn educational intervention with the addition of text reminders designed to increase empathic behaviour was not associated with a change in patient-perceived empathy, but was associated with a modest improvement in trust in physicians.


2017 ◽  
Vol 30 (11) ◽  
pp. 775 ◽  
Author(s):  
Víctor Patricio Díaz-Narváez ◽  
Ana María Erazo Coronado ◽  
Jorge Luis Bilbao ◽  
Farith González ◽  
Mariela Padilla ◽  
...  

Introduction: The controversy over the presence of empathic decline within the course in students of medicine, dentistry and health sciences in general, has not fully been studied. This controversy could be partially solved if massive studies of empathy levels are made in similar cultural, social and economic contexts.Material and Methods: Empathy levels within the course were studied in eighteen dental schools from six countries in Latin America (2013). The mean of the empathy levels were used to study the behavior between first and fifth academic years. The values of empathy levels within the course were observed by applying the Jefferson Scale of Physician Empathy, the Spanish version. All these studies were cross-sectional. The value of means observed, were subjected to regression studies and further adjustment curves were obtained and the coefficient of determination were calculated.Results: Six different models of behavior were observed, which found that five of them suffer empathic decline within the course, but with different final results: in some the decline persists until the fifth academic year and in others, this decline ‘recovers’ persistently until the fifth academic year. The sixth model is characterized by a constant and persistent increase of levels of empathy within the course until the last academic year.Discussion: There are six different models for the behavior of means of levels of empathy within the course evaluated by a common methodology in eighteen dental schools from six countries of Latin America. These findings support the existence of variability of empathic response and a comprehensive approach is needed to find the causes that give rise to this variability.Conclusion: In dental students of Latin America, there is variability in the behavior of the distribution in means between the academic years of the dentistry schools examined in this study.


2014 ◽  
pp. 1239 ◽  
Author(s):  
Simone Steinhausen ◽  
Oliver Ommen ◽  
Sunya-Lee Antoine ◽  
Thorsten Koehler ◽  
Holger Pfaff ◽  
...  

2020 ◽  
Author(s):  
Luiz Miguel Santiago ◽  
Inês Rosendo Silva ◽  
Mona Lisa Coutinho ◽  
Kati Maurício ◽  
Isabel Neto ◽  
...  

Abstract Objectives To evaluate differences in empathy between the Integrated Master’s degree in Medicine (MIM) students from the Faculty of Medicine - University of Coimbra (FMUC) and the Faculty of Health Sciences - University of Beira Interior (FCS-UBI).Methodology Cross-sectional observational study with the Jefferson Scale of Physician Empathy – students’ Portuguese version (JSPE – spv) to 1st, 3rd and 6th year students of the 2017/2018 academic year with descriptive and inferential statistical analysis (p<0.05).Results Size representative sample of 795 students. Higher total empathy score (TES) (p=0.008) and "Perspective taking" (p=0.001) in FCS-UBI were found. JSPE-TES was higher in FCS-UBI, 3rd year (p=0.038). Higher FCS-UBI "Perspective taking" in the 1st year (p=0.030) and 6th year (p=0.044), for "Compassionate care" in the 3rd (p=0.019) and for "Standing in the patient’s shoes" in the 1st year (p=0.018) and in FMUC for "Compassionate care" in the 1st year (p=0.037) and the "Standing in the patient’s shoes" in the 3rd year (p=0.002) were found. Higher levels of empathy were found in FCS-UBI female students, for JSPE-TES (p=0.045) and "Perspective taking" (p=0.001).Conclusion Higher e mpathy levels in FCS-UBI were found, with different results in the third year suggesting influence of the medical course teaching characteristics.


2019 ◽  
Vol 37 (4) ◽  
pp. 767-768
Author(s):  
Vivek Parwani ◽  
David Ashkenasi ◽  
Craig Rothenberg ◽  
Andrew Ulrich ◽  
Sharon Chekijian ◽  
...  

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0010
Author(s):  
Savannah Benko ◽  
Alex Idarraga ◽  
Daniel D. Bohl ◽  
Kamran S. Hamid

Category: Other Introduction/Purpose: Scribes are utilized as a means to reduce administrative burden on surgeons and enhance the physician- patient interaction. Virtual scribe services (VSS) are a contemporary take on the scribe that use a HIPAA-compliant smart device to record patient encounters for transmission, remote transcription, and insertion into the electronic medical record. The purpose of this study was to determine if the use of a VSS could decrease the total time an orthopaedic surgeon spends on documentation without diminishing the patient experience when compared to traditional post-encounter dictation (TD). Methods: Patients presenting for a first-time visit with an orthopaedic foot and ankle surgeon were consented and randomized to VSS or TD prior to the physician-patient encounter. Time spent with the patient in the exam room and time used to document away from the patient were recorded. A validated post-encounter survey assessed patient satisfaction, perception of physician empathy, understanding of the plan, and perception of the amount of time spent with the physician on scales of 0 to 10. An a priori sample size calculation with an alpha level set at 0.05 and power of 80% estimated that 50 patients were necessitated to demonstrate a 2-minute difference in time spent documenting away from the patient. Comparisons were made using a two-sample Student’s t-test. Results: Of the 50 patients enrolled, 25 were randomized to VSS. No differences in demographic characteristics were identified between cohorts (p>0.05 for each). Time spent documenting away from the patient differed between VSS and TD (1.19±0.65 minutes for VSS versus 5.80±1.70 minutes for TD, p<0.001) as did time elapsed between the end of the visit and the start of dictation (0±0 for VSS versus 123±70 minutes for TD, p<0.001). There was a trend towards more time spent with the patient in the VSS group than in the TD group (14.25±5.86 minutes versus 11.37±5.07 minutes, p=0.069). There were no differences between groups in survey responses regarding satisfaction, empathy, understanding, or perception of sufficient time spent with the physician (p>0.05 for each; Table 1). Conclusion: VSS in an orthopaedic foot and ankle practice decreases documentation time by approximately 4 minutes per new patient compared to TD, resulting in 2 hours of reclaimed physician time for every 30 new patients. With VSS, documentation is completed during the visit versus TD which is dictated on average 2 hours later. A validated survey identified no differences in patient satisfaction, perception of physician empathy and sufficient time spent with the physician, or understanding of the plan with VSS versus TD. Orthopaedic surgeons should consider VSS a HIPAA-compliant documentation option with time savings and no measurable difference in patient satisfaction.


2005 ◽  
Vol 27 (7) ◽  
pp. 625-628 ◽  
Author(s):  
Mohammadreza Hojat ◽  
Salvatore Mangione ◽  
Gregory C. Kane ◽  
Joseph S. Gonnella

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